Surgical repair of anomalous coronary arteries arising from the opposite sinus of valsalva in infants and children: Clinical review

Chawki Elzein, Ziad Hanhan, Malek Massad, Mary Jane Barth, Sunthorn Muangmingsuk, Alexander Geha, Anastasios Charalanpos Polimenakos, Michel Ilbawi

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Background: Unroofing of anomalous coronary artery originating from the opposite sinus of Valsalva has become the procedure of choice for this congenital lesion, with surgery performed in children as young as two years old. An increasing number of this anomaly is diagnosed in infancy with no clear indication whether surgical repair should be done in this age group. This paper reviews our experience with this anomaly, and focuses on its surgical management in infants. Methods: Between April 2002 and February 2007, eight patients underwent surgical repair of anomalous coronary artery arising from the opposite sinus of Valsalva and coursing between the aorta and pulmonary artery. Patients' age varied from two months to 28 years with a mean of 11.7 ± 11.1 years. Surgical Technique: Surgical repair involved unroofing the intramural segment of the anomalous coronary artery using cardiopulmonary bypass. Results: Two patients were younger than one year (Group A), and six patients were older than one year (group B). The mean intensive care unit stay was 2.5 ± 0.7 days for Group A and 2.8 ± 1.9 for Group B. The mean hospital stay was 4 ± 1.4 days for Group A and 4.3 ± 2.4 days for Group B. There was no mortality and no complications. The mean follow-up period is 14 ± 15.7 months with a range of one to 39 months. At the time of the last follow-up, all patients were asymptomatic in New York Heart Association class I and follow-up echocardiography on six of eight patients showed wide open coronary ostium. Conclusion: Unroofing the anomalous coronary artery arising from the opposite sinus of valsalva can be done in infants with minimal morbidity and mortality. Longer follow-up is needed to assess long-term results.

Original languageEnglish (US)
Pages (from-to)466-469
Number of pages4
JournalJournal of Cardiac Surgery
Volume24
Issue number4
DOIs
StatePublished - Jul 1 2009

Fingerprint

Sinus of Valsalva
Coronary Vessels
Mortality
Cardiopulmonary Bypass
Pulmonary Artery
Intensive Care Units
Echocardiography
Aorta
Length of Stay
Age Groups
Morbidity

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Surgical repair of anomalous coronary arteries arising from the opposite sinus of valsalva in infants and children : Clinical review. / Elzein, Chawki; Hanhan, Ziad; Massad, Malek; Barth, Mary Jane; Muangmingsuk, Sunthorn; Geha, Alexander; Polimenakos, Anastasios Charalanpos; Ilbawi, Michel.

In: Journal of Cardiac Surgery, Vol. 24, No. 4, 01.07.2009, p. 466-469.

Research output: Contribution to journalReview article

Elzein, Chawki ; Hanhan, Ziad ; Massad, Malek ; Barth, Mary Jane ; Muangmingsuk, Sunthorn ; Geha, Alexander ; Polimenakos, Anastasios Charalanpos ; Ilbawi, Michel. / Surgical repair of anomalous coronary arteries arising from the opposite sinus of valsalva in infants and children : Clinical review. In: Journal of Cardiac Surgery. 2009 ; Vol. 24, No. 4. pp. 466-469.
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abstract = "Background: Unroofing of anomalous coronary artery originating from the opposite sinus of Valsalva has become the procedure of choice for this congenital lesion, with surgery performed in children as young as two years old. An increasing number of this anomaly is diagnosed in infancy with no clear indication whether surgical repair should be done in this age group. This paper reviews our experience with this anomaly, and focuses on its surgical management in infants. Methods: Between April 2002 and February 2007, eight patients underwent surgical repair of anomalous coronary artery arising from the opposite sinus of Valsalva and coursing between the aorta and pulmonary artery. Patients' age varied from two months to 28 years with a mean of 11.7 ± 11.1 years. Surgical Technique: Surgical repair involved unroofing the intramural segment of the anomalous coronary artery using cardiopulmonary bypass. Results: Two patients were younger than one year (Group A), and six patients were older than one year (group B). The mean intensive care unit stay was 2.5 ± 0.7 days for Group A and 2.8 ± 1.9 for Group B. The mean hospital stay was 4 ± 1.4 days for Group A and 4.3 ± 2.4 days for Group B. There was no mortality and no complications. The mean follow-up period is 14 ± 15.7 months with a range of one to 39 months. At the time of the last follow-up, all patients were asymptomatic in New York Heart Association class I and follow-up echocardiography on six of eight patients showed wide open coronary ostium. Conclusion: Unroofing the anomalous coronary artery arising from the opposite sinus of valsalva can be done in infants with minimal morbidity and mortality. Longer follow-up is needed to assess long-term results.",
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T1 - Surgical repair of anomalous coronary arteries arising from the opposite sinus of valsalva in infants and children

T2 - Clinical review

AU - Elzein, Chawki

AU - Hanhan, Ziad

AU - Massad, Malek

AU - Barth, Mary Jane

AU - Muangmingsuk, Sunthorn

AU - Geha, Alexander

AU - Polimenakos, Anastasios Charalanpos

AU - Ilbawi, Michel

PY - 2009/7/1

Y1 - 2009/7/1

N2 - Background: Unroofing of anomalous coronary artery originating from the opposite sinus of Valsalva has become the procedure of choice for this congenital lesion, with surgery performed in children as young as two years old. An increasing number of this anomaly is diagnosed in infancy with no clear indication whether surgical repair should be done in this age group. This paper reviews our experience with this anomaly, and focuses on its surgical management in infants. Methods: Between April 2002 and February 2007, eight patients underwent surgical repair of anomalous coronary artery arising from the opposite sinus of Valsalva and coursing between the aorta and pulmonary artery. Patients' age varied from two months to 28 years with a mean of 11.7 ± 11.1 years. Surgical Technique: Surgical repair involved unroofing the intramural segment of the anomalous coronary artery using cardiopulmonary bypass. Results: Two patients were younger than one year (Group A), and six patients were older than one year (group B). The mean intensive care unit stay was 2.5 ± 0.7 days for Group A and 2.8 ± 1.9 for Group B. The mean hospital stay was 4 ± 1.4 days for Group A and 4.3 ± 2.4 days for Group B. There was no mortality and no complications. The mean follow-up period is 14 ± 15.7 months with a range of one to 39 months. At the time of the last follow-up, all patients were asymptomatic in New York Heart Association class I and follow-up echocardiography on six of eight patients showed wide open coronary ostium. Conclusion: Unroofing the anomalous coronary artery arising from the opposite sinus of valsalva can be done in infants with minimal morbidity and mortality. Longer follow-up is needed to assess long-term results.

AB - Background: Unroofing of anomalous coronary artery originating from the opposite sinus of Valsalva has become the procedure of choice for this congenital lesion, with surgery performed in children as young as two years old. An increasing number of this anomaly is diagnosed in infancy with no clear indication whether surgical repair should be done in this age group. This paper reviews our experience with this anomaly, and focuses on its surgical management in infants. Methods: Between April 2002 and February 2007, eight patients underwent surgical repair of anomalous coronary artery arising from the opposite sinus of Valsalva and coursing between the aorta and pulmonary artery. Patients' age varied from two months to 28 years with a mean of 11.7 ± 11.1 years. Surgical Technique: Surgical repair involved unroofing the intramural segment of the anomalous coronary artery using cardiopulmonary bypass. Results: Two patients were younger than one year (Group A), and six patients were older than one year (group B). The mean intensive care unit stay was 2.5 ± 0.7 days for Group A and 2.8 ± 1.9 for Group B. The mean hospital stay was 4 ± 1.4 days for Group A and 4.3 ± 2.4 days for Group B. There was no mortality and no complications. The mean follow-up period is 14 ± 15.7 months with a range of one to 39 months. At the time of the last follow-up, all patients were asymptomatic in New York Heart Association class I and follow-up echocardiography on six of eight patients showed wide open coronary ostium. Conclusion: Unroofing the anomalous coronary artery arising from the opposite sinus of valsalva can be done in infants with minimal morbidity and mortality. Longer follow-up is needed to assess long-term results.

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